THE LUTHERAN HOME CEDAR HAVEN (NPI# 1407989817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407989817 |
| Entity Type | Organization |
| Organization Name | THE LUTHERAN HOME CEDAR HAVEN |
| Practice Address |
630-640 Reed Street Mankato MN 56001 |
| Practice Telephone | 5076251512 |
| Practice Fax Number | 5073886428 |
| Mailing Telephone | 5076251512 |
| Mailing Fax Number | 5073886428 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KAY INGLETT (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 9528736000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 333375 | MN | Nursing & Custodial Care Facilities |
| Street Address |
630-640 REED STREET |
| City | MANKATO |
| State | MN |
| Zip Code | 56001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326602780 | Pillars of Mankato LLC | Assisted Living Facility | 3125 Prairie Rose Dr, Mankato, MN 56001-2618 | 2019-04-30 |
| 1467838326 | Mankato Ops LLC | Assisted Living Facility | 100 Dublin Rd, Mankato, MN 56001-8765 | 2015-08-03 |
| 1649658469 | Laurels Edge Alf LLC | Assisted Living Facility | 77 Stadium Rd, Mankato, MN 56001-6099 | 2015-05-13 |
| 1912326489 | Waters Edge At Willow Brook | Assisted Living Facility | 800 Agency Trl, Mankato, MN 56001-6936 | 2014-04-14 |
| 1518398890 | The Lutheran Home: Cedar Haven | Assisted Living Facility | 640 Reed St, Mankato, MN 56001-4306 | 2013-12-11 |
| 1679815336 | Ecumen | Assisted Living Facility | 708 Mound Ave, Mankato, MN 56001-1645 | 2013-03-20 |
| 1710148234 | Sunrise Senior Living Management, Inc. | Assisted Living Facility | 300 Bunting Ln, Mankato, MN 56001-7020 | 2008-06-18 |
| 1053582635 | School Sisters of Notre Dame At Central Pacific Province, Inc | Assisted Living Facility | 170 Good Counsel Drive, Mankato, MN 56001-3138 | 2008-03-21 |
| 1225189624 | Spring Park Center Limited Partnership | Assisted Living Facility | 301 S 5th St, Mankato, MN 56001-7507 | 2007-01-15 |
| 1124184676 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 100 Teton Ln, Mankato, MN 56001-4827 | 2006-12-29 |
| Find all providers in MANKATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.